Individual
MARCELINA RAYA BUENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
3325 HAROLD DR NE, SALEM, OR 97305-1339
(503) 363-2021
Mailing address
3325 HAROLD DR NE, SALEM, OR 97305-1339
(503) 363-2021
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
17-CRM-176
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263634042
—
OR
Enumeration date
10/16/2017
Last updated
10/16/2017
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